| NPI | 1477213478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN RAE Chief Payor Relations & Reimburseme 843-876-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2021-12-19 |
| Last Update Date | 2021-12-19 |